Fatima A Husain (NPI# 1801283577, PAC ID# 6406192020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1801283577 |
PAC ID by PECOS | 6406192020 |
Professional Enrollment ID | I20190117003094 |
Full Name | Fatima A Husain |
Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS INC |
Address |
1915 Lake Ave Plymouth IN 46563-9366 |
Phone Number | 5749484000 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | HOSPITALIST |
Group Practice PAC ID | 9537071337 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
Address | Phone | Organization |
---|---|---|
1055 N Curtis Rd, Boise, ID 83706-1309 | 2083672145 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
3025 W Cherry Ln, Meridian, ID 83642-8531 | 2083026400 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
1915 Lake Ave, Plymouth, IN 46563-9366 | 5749484000 | SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS INC |
Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS INC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca Brice | Pediatric Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Bruce Shaun Singh | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Benjamin Cale Friesen | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Chuck G Nwakanma | Critical Care (intensivists) | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1919 Lake Ave, Suite 102b, Plymouth, IN 46563-7830 |
Tiffany T Richards | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Jill M Geer | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Dawn Lee Heckathorn | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Bogdan Sima | Internal Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Street Address |
1915 LAKE AVE |
City | PLYMOUTH |
State | IN |
Zip | 46563-9366 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica L Cooper | Nurse Practitioner | Elite Emergency Physicians Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Bruce Shaun Singh | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Brion B Shin | Radiation Oncology | Michiana Hematology-oncology P C | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Benjamin Cale Friesen | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Bogdan Sima | Internal Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rosalie M Regedanz | Physical Therapy | 440 W Jefferson St, Plymouth, IN 46563-1646 | |
Amber D Trump | Physical Therapy | Robert J Amico Pt Inc | 576 N Oak Dr, Plymouth, IN 46563-1664 |
Nanette M Fredericks | Clinical Social Worker | 322 W Jefferson St, Plymouth, IN 46563-1734 | |
Mary E Schwartz | Podiatry | 116 E Washington St, Plymouth, IN 46563-1744 | |
Jillorna Ann Uceny | Clinical Social Worker | 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753 | |
Rebecca Brice | Pediatric Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Tiffany T Richards | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Jill M Geer | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Dawn Lee Heckathorn | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Margaret T Snyder | Psychologist, Clinical | 505 Colonial Ct, Plymouth, IN 46563-1860 | |
Find all physicians in zip 46563 |
City | PLYMOUTH |
Zip Code | 46563 |
Specialty | FAMILY MEDICINE |
City + Specialty | PLYMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Fatima A Husain.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.